Organization Active NPI

Midway Pointe Chiropractic, Inc.

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1972786614
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2666 Issued in OH
Legal business name
MIDWAY POINTE CHIROPRACTIC, INC.
Practice address
170 Midway Blvd
Elyria, OH 44035-2786
Phone
(440) 324-2040
Fax
(440) 324-2076
NPI assigned
Dec 17, 2007
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Joseph Schaffer, D.C.NPI 1295800944
Title
President
Phone
(440) 324-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2666 OH Primary

Addresses

Primary practice location

170 Midway Blvd
Elyria, OH 44035-2786

Mailing address

170 Midway Blvd
Elyria, OH 44035-2786
Phone (440) 324-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000292 OH Part B Supplier - Clinic/Group Practice 7113937533 Receives reassigned benefits from 1 practitioner
Practice locations: Elyria, OH

National Provider Directory

National Provider Directory

Locations

170 Midway Blvd
Elyria, OH 44035
Phone (440) 324-2040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1972786614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MIDWAY BLVD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352786",
            "telephone_number": "440-324-2040",
            "fax_number": "440-324-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MIDWAY BLVD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352786",
            "telephone_number": "440-324-2040",
            "fax_number": "440-324-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY POINTE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-324-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.